经胫骨神经比目鱼肌支移位修复高位腓总神经损伤。
Translocation of the soleus muscular branch of the tibial nerve to repair high common peroneal nerve injury.
机构信息
Department of Orthopedic Surgery, Changzheng Hospital, Second Military Medical University, Shanghai, 200003, People's Republic of China.
Department of Orthopedic Surgery, Shanghai General Hospital, Shanghai Jiaotong University School of Medicine, Haining Road 100, Shanghai, 200080, People's Republic of China.
出版信息
Acta Neurochir (Wien). 2019 Feb;161(2):271-277. doi: 10.1007/s00701-018-03797-x. Epub 2019 Jan 8.
BACKGROUND
This study was performed to evaluate the clinical effect of translocating the soleus muscular branch of the tibial nerve to repair the deep peroneal nerve.
METHODS
Eight patients were treated for high common peroneal nerve injury. The deep peroneal nerve was separated out from the common peroneal nerve if no injury occurred upon opening the epineurium of the common peroneal nerve. The soleus muscular branch of the tibial nerve was then translocated to the deep peroneal nerve.
RESULTS
The average follow-up duration was 21.75 months. Electromyography revealed newly appearing electric potentials in the tibialis anterior, extensor hallucis longus, and extensor toe longus muscle at 8 to 10 months postoperatively. Four patients showed good functional recovery after surgery; functional recovery was poor in other patients.
CONCLUSIONS
Translocation of the soleus muscle branch is a feasible method to treat high common peroneal nerve injuries. A full understanding of the indications for this operation is required.
背景
本研究旨在评估通过移植胫神经比目鱼肌支来修复腓深神经的临床效果。
方法
对 8 例高腓总神经损伤患者进行治疗。如果在切开腓总神经的神经外膜时没有发现损伤，就将腓深神经从腓总神经中分离出来。然后将胫神经比目鱼肌支移植到腓深神经。
结果
平均随访时间为 21.75 个月。术后 8 至 10 个月肌电图显示出现新的胫骨前肌、踇长伸肌和趾长伸肌的电活动。术后 4 例患者功能恢复良好，其他患者功能恢复较差。
结论
比目鱼肌支移位是治疗高腓总神经损伤的一种可行方法。需要充分了解该手术的适应证。
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